Individual
DESIREE LYNETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3770 CHURCHILL RD, LESLIE, MI 49251-9550
(517) 410-4850
Mailing address
3770 CHURCHILL RD, LESLIE, MI 49251-9550
(517) 410-4850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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